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Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.

Roth L, Salö M, Hambraeus M, Stenström P, Arnbjörnsson E - Gastroenterol Res Pract (2015)

Bottom Line: Background.The overall complication rate was 1%.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, Sweden.

ABSTRACT
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001-2004 and 2011-2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice.

No MeSH data available.


Related in: MedlinePlus

Percentage distribution of indications from January 2001 to December 2004 (455 patients) compared to July 2011 to May 2014 (376 patients). *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
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fig5: Percentage distribution of indications from January 2001 to December 2004 (455 patients) compared to July 2011 to May 2014 (376 patients). *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.

Mentions: The use of gastroscopy increased from an average of 114 per year from 2001 to 2004 to an average of 129 per year from 2011 to 2014 (P = 0.0001). The distribution of indications also changed significantly between these time periods, as shown in Figure 5 (chi-square test: P < 0.001). For example, the use of gastroscopy to investigate gastroenterological conditions decreased from 31.9% to 22.3%, and gastroscopy used during laparoscopic gastrostomy increased from 27.7% to 39.9%.


Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.

Roth L, Salö M, Hambraeus M, Stenström P, Arnbjörnsson E - Gastroenterol Res Pract (2015)

Percentage distribution of indications from January 2001 to December 2004 (455 patients) compared to July 2011 to May 2014 (376 patients). *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4389833&req=5

fig5: Percentage distribution of indications from January 2001 to December 2004 (455 patients) compared to July 2011 to May 2014 (376 patients). *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
Mentions: The use of gastroscopy increased from an average of 114 per year from 2001 to 2004 to an average of 129 per year from 2011 to 2014 (P = 0.0001). The distribution of indications also changed significantly between these time periods, as shown in Figure 5 (chi-square test: P < 0.001). For example, the use of gastroscopy to investigate gastroenterological conditions decreased from 31.9% to 22.3%, and gastroscopy used during laparoscopic gastrostomy increased from 27.7% to 39.9%.

Bottom Line: Background.The overall complication rate was 1%.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, Sweden.

ABSTRACT
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001-2004 and 2011-2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice.

No MeSH data available.


Related in: MedlinePlus